Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H3931-175
Aetna Medicare Dual Extra Care (HMO D-SNP)
Offered by Aetna Medicare (CVS Health Corporation) · available in 14 counties in CO
Only for people who have both Medicare and Medicaid.
Monthly premium$0health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Enhanced Alternative
Star Rating★★★½ 3.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $1,500 per year |
| Over-the-counter items | $100 per month allowance |
| Fitness | Fitness benefit (gym membership or program) |
| Meals | Meal benefit (usually after a hospital stay or for a qualifying condition) |
| Personal emergency response system | Medical alert device or service |
| Home safety | Home and bathroom safety devices or modifications |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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